HomeMy Public PortalAbout10256 RANDWICK DR_Building__ I
TEMPLE CITY
FOAOBBA C6808.1-Ot
� APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTNIENNT OF COUNTY ENGINEER ADDRESS
BUIL ING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DISTRIC NO. GROUP TypS P SED HY
FOR APPLICANT TO FILL IN !9 CONST.
,161
BUILDING STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS RIA W I�1� K PG
CLASS.NO. WELL.UNITSj
LOT NO. ur BLOCK WATER NOT REQUIRED ❑ RECEIVED
�y CERTIFICATE:
TRACC / 3O9 MAPHIGHWAY
NO.OF BLDGS. NO (CIRCLE) STATE MAJOR SECOND, CA
SIZE OF LOT.S`O.x Da I NOW ON LOT USE ZO E SPECIAL
USE OF CONDITIONS
EXISTING BLL/DG. "�"
OWNER�.p. ETZ. //&-d. &. NO. (�' �� BUILDING YARD HWY REE AME EXIST.
ADDRESS-Vg24 `' YYfp(� G"2'Y Fij" SETBACK WIDTH'
FRONT
ARCHITECT OR TEL. P.L.
ENGINEER NO. SIDE
P.L.
ADDRESS pp I-' p� ` b INSPECTION RECORD O
CONTRACTOR JX I.e g&f— Da Cor V
ADDRESS-997;Z 6 7-RM#0lJ`GT',- i?f/O• 0
O
DESCRIPTION OF WORK ri
W
d
ADD ALTER REPAIR DEMOLISH to
SQ.FT. NO.OF NO.OF Z
IZE8 STORIES FAMILIES
USE OF
STRUCTURE
f�
SIGNATURE OF
APPLICANT
VALUATION s,. vD d0 I G -,Od U
APPROVALS DATE i INSPECTOR'S SIGNATURE
P / I FOON
FCFEE S FORMS.MATERIALS
FRAMEFIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK �1 f�
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. 16-3 /!
TION OF THE LABOR CODE OF THE STATE OF CAL FORNIA RELAT-
ING TO WORKMEN'S CO S ION INSUR C ' r
LATH.EXT.
PERMITTEECOR-
SIGNATUREOUSE
OF t HRECT
OMP .—POSTED
ADDRES S 2 /� �/ FINAL �' -L 3 -s-'^-�-.7
CLYDE N. DIRLM, PRINCIPAL SIR RAL ENGINEER
PLAN CHECK VALIDATION M.D. cASx r4
PERIN= VALIDATION cK M.c.Sy CASH
o }I
6 6 1 8% NOV 7 2 3 D' 2 6.7 5 e
LAC0 7 5 5 4- NOV 2 8 1 D . 5 7.00- Q
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0807170001
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
1 TR: 27309 IT: 15 I SQ. FT STORIES TYPE I 10256 RANDWICK DR I
-ISTRUCTURE: V-B I TEMP CA 917803351 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GLICKMAN 1
18585-004-013 I I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
(TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: EXPIRES ON: I
] ]EXIST OCC GRP: 107/17/08 SR 01/13/09 I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL Y: CODE: 1
ILEE CHUNG CHIEH, HSU YI FAN (626) 215-0716- 1 12,000 1I
110256 RANDWICK DR I 19--7,74 qI
ITEMP 917803351 I FEES PAID ID SCRIPTION OF WORK I1
I I IREMODEL KITCHEN AND TWO BATHROOMS 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I
1APPLICANT: TEL. NO: I I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 I
1 IAC STRONG MOTION RESID 12000.00 VAL 1.20 ISPECIAL CONDITIONS: 1
JB2 PERMIT W/ENERGY 12000.00 VAL 275.22 1 I
1FR INV WORK W/O PERMIT 257.00 DOL 257.00 I I
1 TOTAL FEES 561.17 I I
(CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - 1 I I
I LIC. NO I ILOCATION AND SETBACKS I I I
] 1 ISOILS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: I ISLAB/UNDER FLOOR I I I
II I I
1 1RAISED FLOOR FRAMING ] I I
I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I
1147H273 3 011 1 1-1 I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I I i
NO 21 1 IROOF SHEATHING I I
SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS 1 I I I
NO NO NO 1 IFRAME INSPECTION I
IREQUIRED TOTAL SETBACK FROM EXIST 1 1FIRE SPRINKLER HANGERS 1 I
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I I
]FRONT PL- 1 11NSULATION/WEATHER STRIPI I I
I SIDE PL- 1 1-1
] IINTERIOR LATH/DRYWALL ( I
I (EXTERIOR LATH I I
] I IRATED FLOOR/CEIL ASSEM. I ] I
1 I IRATED WALL ASSEMBLIES 1
1 RATED SHAFTS/OPENINGS I ] I
1 IT-BAR CEILINGS I I I
I � I
] I ILOT DRAINAGE I I I
] IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I
] I I I I I